| NPI | 1528402609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1632706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 803123) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2015-07-02 |